I worked ops support at a local heath insurance group of maybe 250 people. We had an entire floor the building next to us dedicated to billing and 30-40 biller

I worked ops support at a local heath insurance group of maybe 250 people. We had an entire floor the building next to us dedicated to billing and 30-40 billers with some of the older employees making upwards of $75k a year not to mention the infrastructure and systems to support that department. With a universal system, those costs (and jobs) would evaporate to the tune of millions per year in salaries alone. For the employees, each of them could quickly retrain or just shift into other departments as needed as most staff did when the company was acquired and IT admins moved to PM or lead roles in other departments. #2 exists and would have a huge impact not only on the industry but your time and mine. I've spent maybe 8 hours this year already just working with medical billing groups to pay up and already spent close to $2000 between my partner and I with an estimate $4-6000 before the end of the year without doing a sleep study which I greatly need. Universal is definitely cheaper. All we have to do is compare ourselves to just about every other western democracy to see ow.